Individual
DR. JOHN A REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15A BERRY HILL RD, OYSTER BAY, NY 11771-3538
(516) 671-6900
(516) 671-6901
Mailing address
10 MEDICAL PLZ, SUITE 205, GLEN COVE, NY 11542-2193
(516) 671-6900
(516) 671-6901
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
221361
NY
207R00000X
Internal Medicine Physician
221361
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02223669
—
NY
Enumeration date
01/19/2007
Last updated
09/03/2022
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